SHANE ALAN ROARK

LEXINGTON, KY
NPI1558110551
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2024-05-14
Last Update Date2024-05-14
Business Address
SHANE ALAN ROARK
1351 NEWTOWN PIKE
LEXINGTON, KY 40511-1275
Phone number: 859-253-1686
Mailing Address
SHANE ALAN ROARK
1351 NEWTOWN PIKE
LEXINGTON, KY 40511-1275
Phone number: 859-253-1686
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